Ureterovaginal fistula: A complication of a vaginal foreign body

被引:5
作者
Lo, Tsia-Shu [1 ,2 ,3 ,4 ]
Bin Jaili, Sukanda [5 ,6 ]
Ibrahim, Rami [6 ,7 ]
Kao, Chuan Chi [1 ]
Uy-Patrimonio, Ma Clarissa [6 ,8 ]
机构
[1] Chang Gung Mem Hosp, Keelung Med Ctr, Dept Obstet & Gynecol, 222 Maijin Rd, Keelung 204, Taiwan
[2] Chang Gung Mem Hosp, Taipei Med Ctr, Dept Obstet & Gynecol, Taipei, Taiwan
[3] Chang Gung Mem Hosp, Linkou Med Ctr, Dept Obstet & Gynecol, Div Urogynecol, Taoyuan, Taiwan
[4] Chang Gung Univ, Sch Med, Taoyuan, Taiwan
[5] Hosp Umum, Dept Obstet & Gynecol, Sarawak, Malaysia
[6] Chang Gung Mem Hosp, Dept Obstet & Gynecol, Div Urogynecol, Taoyuan, Taiwan
[7] Al Bashir Hosp, Dept Obstet & Gynecol, Amman, Jordan
[8] Dr Pablo O Torre Mem Hosp, Dept Obstet & Gynecol, Bacolod City, Philippines
来源
TAIWANESE JOURNAL OF OBSTETRICS & GYNECOLOGY | 2018年 / 57卷 / 01期
关键词
Ureterovaginal fistula; Ureteroneocystostomy; Vagina foreign body; VESICOVAGINAL FISTULA;
D O I
10.1016/j.tjog.2017.12.026
中图分类号
R71 [妇产科学];
学科分类号
100211 ;
摘要
Objective: To know the diagnostic tools and proper management of ureterovaginal fistula following neglected vaginal foreign body in order to achieve optimal outcome. Case report: A case of ureterovaginal fistula associated with a neglected vaginal foreign body. The patient was complaining of a foul-smelling vaginal discharge and lower abdominal pain. On vaginal examination, a hard and large foreign body was found. Examination under anesthesia was performed, and an aerosol cap was removed from her vagina. The patient developed urinary incontinence after removal of the foreign body. Subsequent work-up demonstrated the presence of a right ureterovaginal fistula. The patient underwent an abdominal ureteroneocystostomy. At one year follow up, the patient had fully recovered. Conclusion: Ureterovaginal fistula following neglected vaginal foreign body is a serious condition. Early diagnosis, treatment of infection and proper surgical management can improve the outcome and decrease complications. (C) 2018 Taiwan Association of Obstetrics & Gynecology. Publishing services by Elsevier B.V.
引用
收藏
页码:150 / 152
页数:3
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